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K123 – Family developmental and/or behavioural care

OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits

Developmental and/or behavioural care are services encompassing any combination or form of assessment and treatment by a paediatrician for mental illness, behavioural maladaptations, developmental disorders, and/or other problems that are assumed to be of a developmental or emotional nature where there is consideration of the patient's biological and psychosocial functioning. Unit means ½ hour or major part thereof - see General Preamble , to for definitions and time-keeping requirements. In addition to the - common elements, this service includes the following specific elements: • Performing the appropriate therapy or interaction with the patient(s) or the patient's relative(s) or patient's representative. • Performing any procedure(s) during the same encounter as the therapy or other interaction unless the procedure(s) is(are) separately listed in the Schedule and an amount is payable for the procedure in conjunction with the therapy or interaction. • Making arrangements for any related assessments, procedures, or therapy. • Making arrangements for follow-up care. • Discussion with, and providing advice and information, including prescribing therapy to the patient or the patient's representative, whether by telephone or otherwise, on matters related to the service and results of related procedure(s) and/or assessment(s). • When medically indicated, monitoring the condition of the patient and intervening, until the next insured service is rendered. • Providing premises, equipment, supplies, and personnel for the specific elements of the service.
The physician must record on the patient's permanent medical record or chart the time when the insured service started and ended.

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